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Deficiency Records for Meadowbrook Rehabilitation Hospital
View the most recent health deficiencies and inspection results for Meadowbrook Rehabilitation Hospital. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Meadowbrook Rehabilitation Hospital. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-09-16 | 2026-01-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-09-16 | 2026-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-16 | 2026-01-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-09-16 | 2026-01-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-09-16 | 2026-01-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-09-16 | 2026-01-16 | N |
| Use approved construction type or materials. | Fire Safety | 2025-09-16 | 2026-01-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-09-16 | 2025-10-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-09-16 | 2025-10-13 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-09-16 | 2025-10-13 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-09-16 | 2025-10-13 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-09-16 | 2025-10-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-16 | 2025-10-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-09-16 | 2025-10-13 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-09-16 | 2025-10-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-16 | 2025-10-13 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-09-16 | 2025-10-13 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-09-16 | 2025-10-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-09-16 | 2025-10-13 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-09-16 | 2025-10-13 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-09-16 | 2025-10-13 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-04-07 | 2025-04-14 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-04-07 | 2025-04-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-11-12 | 2024-11-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-12 | 2024-11-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-25 | 2024-03-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-25 | 2024-03-05 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-25 | 2024-03-05 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-01-25 | 2024-03-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-25 | 2024-03-05 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-25 | 2024-03-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-25 | 2024-03-05 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-01-25 | 2024-03-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-03-05 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-01-25 | 2024-03-05 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-01-25 | 2024-03-05 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-25 | 2024-03-05 | Y |
| Post nurse staffing information every day. | Health | 2024-01-25 | 2024-03-05 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-01-25 | 2024-03-05 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-25 | 2024-03-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-25 | 2024-03-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-25 | 2024-03-05 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-01-25 | 2024-03-05 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-01-25 | 2024-03-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-25 | 2024-03-05 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-25 | 2024-03-05 | Y |
| Keep all essential equipment working safely. | Health | 2024-01-25 | 2024-03-05 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-25 | 2024-02-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-25 | 2024-02-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-25 | 2024-02-14 | N |
| Use approved construction type or materials. | Fire Safety | 2024-01-25 | 2024-02-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-25 | 2024-02-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-25 | 2024-02-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-25 | 2024-02-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-16 | 2022-06-16 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-03-16 | 2022-04-21 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-03-16 | 2022-04-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-03-16 | 2022-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-16 | 2022-04-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-16 | 2022-04-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-16 | 2022-04-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-16 | 2022-04-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-16 | 2022-04-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-16 | 2022-04-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-03-16 | 2022-04-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-16 | 2022-04-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-16 | 2022-04-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-16 | 2022-04-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-16 | 2022-04-18 | N |